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Fraud, waste, and abuse (FWA) is an area of constant concern for health plans. Whether inappropriate billing is happening purely by accident, due to lack of correct coding education, or with malicious intent from bad actors, flagging and fixing billing errors is a continual process. A strong FWA strategy is the only way to safeguard plans against inappropriate billing and ensure payment integrity.
In our new eBook, we dive into several specific areas susceptible to FWA:
- Durable medical equipment (DME)
- Mental health services
- Genetic testing and molecular pathology services
- Dental services and more
Read through best practices and takeaways from Cotiviti’s special investigative unit (SIU) to empower your plan to detect and prevent future schemes.